咨询描述:症状描述:一个星期前出现食欲不振,厌食,精神状态还可以,能跳,吐黄水
患病时长:三天
医院检查:抽血化验是胰腺炎,暴饮暴食引起的
用药情况:输液五天了,回来还买了一袋低脂处方粮,吃了两天,又厌食吐黄水,这次精神状态更不好了,一直呆在床上,不吃不喝
问题大致一样,细节不同?
徐灿
执业兽医师
你好家长,对于这种情况来说,我已经大概了解了前后经过,但是能不能让我看一下它的化验结果?还有就是能不能让我看一下用药?当然,如果可以的话,最好是能让我看一下它的用药方案。
因为目前来说相对的知道的还是比较少,我需要知道更多情况进行确认。另外,如果可以的话,尽量附带一些猫咪的视频过来。需要对他的状态做评估。
第一次就只有这个单子,没有用药,就是输完液回来适当吃猫粮,昨天问了给了一瓶药回来吃,还是会吐,刚刚又去化验,发现有点发烧,并发肝炎了,回来又吐了,现在盖着被子睡觉,一点精神都没有,站起来都困难
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
我已经看到他的化验结果,确实是胰腺炎,因为胰腺和肝脏之间,有天然的通道,所以说继发肝炎是正常的。
对于这种情况来,一般后续的治疗,主要是以护肝为主,然后并且使用抗生素,使用一些止疼的药物。
以他的情况来说,后续的话肯定还得输液,能否附带更多的视频呢?还有就是检查一下,现在他还有没有肚子的按压疼痛?
也是打算明天去输液了,刚刚给它打了一针止痛的,一般输液要几次才好呢?五天输液都不见好,后期护肝以及饮食调理怎么弄?
为保护用户隐私不显示图片/视频
肚子按压倒是不反抗,它本身不喜欢被摸,后续我该做一些什么预防工作,怎么护肝,还有它的处方粮还可以吃吗?
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
这个处方粮是低敏的,不是胰腺炎的处方粮。后续的话,先不要吃这个东西。如果实在是没有了,那就给他煮一些鸡胸肉,然后把油脂之类的剔除就可以,但是前提是等到他状态稳定之后再去吃。
输液的话,得看恢复情况,这个没有固定时间,一般是一天输两次。至于说后续用药的话,一般建议较长时间使用一些抗生素,并且使用一些护肝药物和调节肠道菌群的,但是近期肯定得先输液。
就是输完液回来,如果不继续吐了,有食欲了就可以煮点鸡胸肉给它是吗?之后情况好转才用药?好转后湿粮可以吃吗
徐灿
执业兽医师
是这样的,等到他有食欲了,可以给他吃一点鸡胸肉,因为上面的那个处方粮是低敏粮,不是胰腺炎的处方粮。
等到他不需要输液,按照上面的方式调节菌群,预防炎症,并且护肝就可以。
然后吃湿粮也可以,但是尽量避免过多的动物性油脂,然后最开始的时候也不要一次性给他吃太多,避免造成严重问题。
我明天去那里输液的话,医生要给我开药也是可以的嘛?那个医院输液一般都要三个小时以上,可以加快一点嘛?
徐灿
执业兽医师
也可以的,但是我不确定后续会给你开什么药物,另外就是不能加快速度,一般的这种情况给猫输液六七个小时,十来个小时都很正常,三个小时算短的了。实在不行就早上送过去,晚上接。然后一天输两次。
我换一家医院检查了,他说白细胞只有1.4了,就算治疗也不一定能救回来,
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
白细胞1.4的话,必须考虑细小病毒,有可能是发生院内感染,就是之前疾病确实可能治疗好了,但是后续在医院环境之中,由于免疫力低或者是感染上了病毒,从而造成了细小病毒,这个是非常有可能的,一定要核实一下,不过1.4的话,确实可能无法救治回来。
已经做了猫瘟检查,医生也是让我签了病危通知书,现在只能输液治疗,炎症很高,做好最坏打算
徐灿
执业兽医师
一般来说也只能是这样了,因为综合考虑他应该是院内感染,之前我帮你开的方案就没有用了,因为细小病毒,普通的药物和方案是治不了的。只能是输液,然后看一下后续发展了。
如果是院内感染,那我可以向医院索赔吗?我花了这么多钱去治病,却在那里病情加重了,我实在接受不了
徐灿
执业兽医师
这个不好说,因为院内感染确实会发生,但是很难证明他就是在医院感染的,因为在家庭环境之中,基本上不太会接触到传染源,但是临床实际追责很难。
家里的猫都没有事,都是在家里养的,都不出去,现在我在家里做消毒工作,那个医院卫生都不合格,就只有去到那里才感染了
徐灿
执业兽医师
所以我才说院内感染的可能性很高,但是实际上在临床上也不太好追责,这个是事实,所以通常来说并没有太好的办法,只能是先进行治疗了,而且短时间之内猫咪也不能回家,哪怕回家了,也需要进行隔离。
已经住院了,医生说要治疗一周,按照猫瘟和肝炎治疗,也有可能在治疗的过程中死亡,真的很心痛,养的好好的,却在治疗中感染病毒,从小养到的大,还没成年就要面对这些,也谢谢医生耐心帮我解答,感谢给出方案,我只能每天祈祷它加油战胜病毒!平安健康的回来。
医生建议及处方根据当前病情给出,仅适用于本次问诊
蘑菇宠医处方笺
用法用量需根据患宠的年龄、体重等信息开具,此处方暂不展示
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